Hands, mini-invasive interventions to treat pathologies such as carpal tunnel syndrome, tendinitis, fractures, ligament injuries or overload neuropathies

Pain, loss of strength or sensitivity to the hands They can affect anyone: young, adults, workers and sportsmen. The pathologies of the hand are in fact very common and often linked to repeated overload or microtraumas.

In Italy, every year, about 1.3 million people turn to the emergency room for trauma to the upper limbs: over half it concerns hand and wrist. According to theINAILthe hand is the most affected part of the body in the injuries of the manufacturing sector (41% of cases), with wounds, bruises and dislocations representing more than 70% of the lesions. Even in the construction sector, accidents in hand are frequent: over a quarter of the total, according to the data updated in November 2024.

The most at risk professions

“The pathologies of the hand due to habitful works involve many professional categories”, explains Dr. Mattia CarozzoHead of the hand surgery operating unit to theIRCCS San Raffaele Hospital of Milan. The biomechanical exposure varies according to the type of activity carried out: construction workers, assembly chain, socio-health operators, chefs, pizza chefs, farmers, hairdressers, employees. “A neglected inflammation can become one Chronic disabled pathology. But today, thanks to mini-invasive techniques », The expert underlines “we can intervene early and effectively”.

What is mini-invasive surgery of the hand

It is a surgical approach that provides very small engravings, often of a few millimeters, to treat various hand pathologies. Compared to traditional surgery, it offers numerous advantages: faster recovery times, minor scars, reduced post-operative pain and less risk of complications.

«Unlike the interventions open -airwhich require large engravings to access deep structures, mini-invasive surgery uses advanced tools and technologies, such as endoscopes And microscopes operatorsto operate through small openings, “specifies the specialist. «The damage to the surrounding fabrics it is minimalfavoring one faster healing “.

The diagnostic process

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The diagnostic path to examine bone, tendons And muscles of the hand, and then decide whether it is necessary to intervene surgically or if one is sufficient conservative physiotherapyincludes: in -depth clinical visit, ultrasound, radiography, magnetic resonance imaging (RMN), CT, electromyography (EMG).

Pathologies negotiable with mini-invasive surgery

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This type surgical applies to carpal tunnel syndrome, neurological pathology due to the compression of the median nerve at the level of the wrist, which can cause pain, numbness and tingling in hand and fingers; snap finger, inflammatory pathology of the flexor tendons of the fingers, characterized by pain, rigidity and by the shot of the finger during the movement, caused by a narrowing of the tendon sheath; rizoartrosis, form of arthrosis that affects the trapeze-metacarpal articulation, located at the base of the thumb: it manifests itself with pain, rigidity and a progressive reduction of the functionality of the thumb especially in the socket and rotation movements; Fractures of the hand; tendon injuries; ligament injuries; Dupuytren disease, Benign hand disease that involves the curvature of the fingers towards the palm, making it difficult to relax them completely.

Mini – invasive surgery: the advantages

Rapid recovery, lower post-operative pain, almost invisible scars, minor complications: These are the advantages of an intervention in mini – invasive, executable at surgery public hospital facilities or at private clinics.
A fundamental aspect is the post-operative rehabilitationfollowed by physiotherapists specialized in hand therapy. This allows you to recover strength, mobility and sensitivity in a short time, and to learn useful strategies to prevent future relapses or complications.

“Our objective”, Carzzo concludes, «It is not just healing the injury, but bring the patient back to the full functionality of the hand, in the shortest possible time and with the minimum discomfort. There synergy Between Surgeon and therapytto It is essential for the success of the treatment “.